Thread by @keithppereira

⚡️ Published @JVIRmedia ⚡️, will hopefully help #Irad #InterventionalSpecialists with patient care after #UFE

"Intraprocedural Superior Hypogastric Nerve Block (#SNHB) is safe, effective, significantly reduces pain, need for opioids and allows same-day discharge #UFE"

Thread 👇

1/ YOU CAN DO IT! 🤜 🤛

#SNHB technique: Technical success 87% , which included operators who were not initially experienced with this procedure.

2/ #SNHB HELPS WITH PAIN CONTROL 💊

97.1% of patient with #SNHB DID NOT NEED PCA pump

Of patients that needed opioids, average dose was ONLY 7.5 MME

3/#SNHB ALLOWS SAME DAY 📆 DISCHARGE FROM 🏪

Most practices adopt 23-hour stay After #UFE , mainly for pain control.

Median length of stay for those who received SNHB was 2.2 hours (half <2 hrs and 1/3 <1.5 hrs)

Only 6% patients in SNHB group stayed overnight

4/ #SNHB IS SAFE 🟢✅

No major adverse effects such as bowel perforation, discitis, or vascular injuries.

A single case of Lidocaine associated systemic toxicity (LAST) was seen probably caused by intravascular injection of local anesthetic agents

5/ Take home points 📋

#SNHB is safe, effective and reduces pain

The health, economic, and social impact of same-day discharge has the potential to make #UFE an even more attractive option for middle-aged women with symptomatic leiomyomas as an alternative to hysterectomy.

6/ Link to the article and POLL

sciencedirect.com/science/articl…

Time for a poll: Practice patterns for #Irad and pain control and discharge after #UFE

(if other method please specify like intra arterial Lidocaine, etc )

@SDhandMD @ajgunnmd @JessieStewartMD @skohoro @AgnesSolberg